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My Brother Is Diagnosed With HIGH GRADE "B" CELL NON HODGKINS LYMPHOMA OF PANCREAS With DUODENAL INFILTRATION He Was Having Double Vision Can He Go And Undergo Next Chemo?

Posted on Tue, 14 Mar 2023

Question: My Brother is diagnosed with HIGH GRADE "B" CELL NON HODGKINS LYMPHOMA OF PANCREAS with DUODENAL INFILTRATION.
He was undergone 5 chemo's and suddenly today when he supposed to undergo 6th chemo he was having double vision. He is seeing two objects instead of one object and if he closes his one eye he can able to see as one object and if he seeing with two eyes, he is seeing two objects. After 5 chemo's the PET scan shows infiltration has been cleared. Can you please advise is this problem of double vision will get rectified?
Can he go and undergo next chemo?

Answered by Dr. Monish De (46 minutes later)

Brief Answer:

Apply artificial tears to hydrate eyes

Detailed Answer:

Hi

Double vision after chemotherapy is a common side effect.

Since your brother has undergone chemotherapy for HIGH GRADE "B" CELL NON HODGKINS LYMPHOMA OF PANCREAS with DUODENAL INFILTRATION and is facing double vision i would advise him to apply artificial tears to hydrate eyes, clean eyelids with warm water and baby shampoo, apply a warm washcloth to eyelids and use bright light when reading

It will get rectified within 1 month after completion of chemotherapy

Yes he can undergo chemotherapy

Regards

Dr Monish De

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Monish De (19 minutes later)

Thank you very much for prompt reply sir,

Is there any chance that this problem last longer? Any other precautions we need to take apart from the suggestions you have given?

Will this symptom gives any other indication of the treatment i.e good or bad?

Regards,
Bala

Answered by Dr. Monish De (1 hour later)

Brief Answer:

PET CT and MRI brain after 1 month

Detailed Answer:

Hi

No it will last for around 1 month and after chemotherapy is over it will go away on its own.

No other suggestions.

Do a PET CT scan and MRI of brain after chemotherapy is over to assess the current status.

Regards

Dr Monish De

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Monish De (32 hours later)

Hello Sir,

We visited our doctor and he advised for MRI and CSF tests. Just got to know that MRI says 99% confirmed report that Brain is also affected. Waiting for CSF tests as of now. Can you please tell what else we can do ? Do you suggest any specialist doctor in XXXXXXX ? Current Doctor is on leave for two days, How fast we need to react? Need your valuable suggestions sir.

Thanks,
Bala
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Answered by Dr. Monish De (12 minutes later)

Brief Answer:

Needs radiation

Detailed Answer:

Hi

As brain is also affected would advise your brother to undergo radiation.

You can consult Dr. XXXXXXX Athar XXXXXXX radiation oncologist in XXXXXXX

Address: At XXXXXXX Oncology Institute, Nallagandla,Serilingampally,, XXXXXXX Telangana 500019
Phone: 040 6719 9999

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Monish De (36 minutes later)

Brief Answer:

Visit radiation oncologist immediately

Detailed Answer:
Hi

No go there immediately.

No need to wait for CSF test.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Monish De (4 minutes later)

Do we need to wait for the CSF test or need to go immediately? How serious is the problem?

Answered by Dr. Monish De (1 hour later)

Brief Answer:
Dexona a temporary solution

Detailed Answer:
Hi

Dexona contains steroid which will reduce the inflammation in the brain and vomiting which occurs after cancer spread to brain but will not cure or control it

It is a temporary solution

So he must receive radiation to brain

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Monish De (5 minutes later)

Hi Sir,

Sorry for asking multiple questions, Our doctor has prescribed Injection called "Dexona" for four days and then he asked us to come back. Do you think going with injection instead of radiation will help the patient? Attaching the neurologist report and medicine for your reference. Up to now no one suggested for radiation, So got very much confused after your suggestion. I hope you understand my questions are coming from tension and sorrow. Please share your suggessions.

Thanks,
Bala